Deck 1: Community and Prevention-Oriented, Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

Question 1

Which of the following statements about public health is accurate?

A) Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches.
B) Expenditures and resources for public health have increased in recent years.
C) Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.
D) Reform of the medical insurance system is the single change needed to improve the health of Americans.

Answer 1

Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.

Question 2

A nurse is implementing quality performance standards in a public health department.Which of the following best describes the importance of this action?

A) Quality performance standards are used to guide improvement in the public health system.
B) Quality performance standards rigidly control public health.
C) Quality performance standards guide administrators to monitor public health at the national level.
D) Quality performance standards can be used as hiring guidelines for nurses.

Answer 2

Quality performance standards are used to guide improvement in the public health system.

Question 3

The PHN analyzes data related to the number and type of United States Environmental Protection Agency air quality standards that a community failed to meet.This data is an example of using which community health profile indicator?

A) Sociodemographic characteristics
B) Health status
C) Health risk factor
D) Functional status

Answer 3

Health risk factor

Question 4

A public health department is using the mission of public health as described by the Institute of Medicine when planning its health programming.Which of the following activities will most likely be implemented?

A) Tracking avian flu outbreaks and doing surveillance in the United States
B) Providing a flu shot for an elderly person at the health department
C) Keeping track of alternative therapies in use in the United States
D) Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta

Question 5

The purpose of public health core functions is to:

A) clarify the role of the government in fulfilling the mission of public health.
B) ensure the safety of populations in receiving quality health care.
C) provide community-based individualized care to every person in the United States.
D) unite public and private providers of care in a comprehensive approach to providing health care.

Question 6

The public health workforce should demonstrate competency in which of the following competency categories?

A) Financial planning and management
B) Workforce needs assessment
C) Acute care services
D) Curriculum development

Question 7

The nurse manager makes sure that the staff members who work in a local clinic are competent in their job responsibilities.Which of the public health core functions is being demonstrated?

A) Assurance
B) Assessment
C) Prevention
D) Policy development

Question 8

A public health department makes sure that the essential community-oriented health services are available in the community.Which of the following core public health functions is being implemented?

A) Policy development
B) Assessment
C) Assurance
D) Scientific knowledge-based care

Question 9

The PHN compares the rate of teenage pregnancy in various areas of the city.Which of the core functions of public health is being implemented?

A) Assurance
B) Assessment
C) Prevention
D) Policy development

Question 10

A PHN develops and implements local public health policies through partnerships with agencies,organizations,and consumers within the community.Which of the following core public health functions is being used?

A) Assessment
B) Prevention
C) Assurance
D) Policy development

Question 11

A community is concerned about the threat of bioterrorism.Which of the following best describes the basis for this concern?

A) Bioterrorism has the potential to dissolve community-based programs.
B) This threat could cause the health care system to collapse.
C) The threat of bioterrorism may divert funds from other public safety health care programs.
D) Fear of bioterrorism will increase the need for shelters.

Question 12

Which of the following describes the consequence of the successful implementation of the Affordable Care Act?

A) Americans will pay closer attention to their health status.
B) The majority of the population will be covered by insurance.
C) Public health departments will need to increase the number of nursing positions.
D) The prevalence of obesity will decrease.

Question 13

A nurse performs activities to meet the primary goals of public health.Which of the following is the nurse most likely to complete?

A) Ensuring that a newly diagnosed 40-year-old hypertensive man takes his medication
B) Finding home care for a 70-year-old client recuperating from a hip replacement
C) Conducting an infant car seat safety check
D) Contacting a local hospice to admit a terminally ill 60-year-old woman

Question 14

One of the primary focuses of improving the health of the American people in the twenty-first century is to address:

A) bioterrorism and global health threats.
B) delivery of individual care and hygiene.
C) the need for increased hospital and acute care.
D) chronic disease and disability management.

Question 15

To better address emerging public health issues,a PHN plans to complete continuing education in this area.Which of the following content areas should be included in the course that is chosen?

A) Leadership
B) Ethics
C) Communication
D) Finance

Question 16

A nurse provides for the availability of essential personal health services for people who would otherwise not receive health care.Which of the public health core functions is being used?

A) Assessment
B) Prevention
C) Assurance
D) Policy development

Question 17

The public health nurse (PHN)must participate in the essential services of public health.Which of the following most accurately describes one of the essential services of public health?

A) Monitoring health status by completing a community assessment
B) Diagnosing and investigating health problems in the world
C) Informing, educating, and empowering people about health issues
D) Working in law enforcement to regulate health and ensure safety

Question 18

A PHN collects data and monitors the health status of the population.Which of the following core public health functions is being implemented?

A) Assessment
B) Prevention
C) Assurance
D) Policy development

Question 19

A community health nurse collects data about the number and proportion of persons aged 25 or older with less than a high school education.Which of the following best describes this data?

A) Sociodemographic characteristics
B) Health status data
C) Health risk factors
D) Health care resource consumption information

Question 20

Public health nursing is a specialty because:

A) it has a distinct focus and scope of practice.
B) it must be done by a registered nurse with a master's degree.
C) it is focused on disadvantaged citizens.
D) it performs interventions at the acute care level.

Question 21

A nurse is conducting vision screenings on children in the school setting.Which type of nursing practice is the nurse performing?

A) Community-oriented
B) Public health
C) Community health
D) Community-based

Question 22

A local senator has proposed changes to the health care delivery system in the United States.Based on current trends,which of the following is most likely to occur?

A) There will be new opportunities provided for public health specialists.
B) It will result in isolated care being provided to individuals.
C) There will be an increased emphasis in specialty care.
D) It will increase the utilization of acute care services.

Question 23

Which statement about community health nursing practice is correct?

A) It focuses on the delivery of personal health services to individuals and families.
B) It provides care to protect the health of the community as a whole.
C) It emphasizes the setting where care is provided for clients and families.
D) It requires a baccalaureate preparation for practice.

Question 24

A nurse is implementing community-based nursing care.Which of the following nursing interventions is the nurse most likely to complete?

A) Assessing the health needs of a defined community
B) Providing care to families in a community
C) Promoting the health of an entire community
D) Investigating environmental health problems in a community

Question 25

The necessary basic preparation for public health nursing is a(n)_____ in nursing.

A) associate's degree
B) baccalaureate degree
C) master's degree
D) Doctor of Nursing Practice degree

Question 26

A nurse is using a population focus when providing public health nursing care.Which of the following statements best describes the care that is being provided?

A) Priority is given to the highest risk population.
B) Direct caregiving is limited to preventive measures, such as administration of immunizations.
C) Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system.
D) Only populations outside institutional settings are considered.

Question 27

A nurse is working in the community with an aggregate/population.Who is the nurse most likely to interact with?

A) Students in a county school system
B) Christians around the world
C) A patient in the intensive care unit at the local hospital
D) People who drink coffee

Question 28

A public health staff nurse has a clear understanding of population-focused practice.Which of the following characteristics would the nurse most likely display?

A) Volunteering for a local community action coalition
B) Able to perform interventions with individuals in the community
C) Able to improve the effectiveness of care provided
D) Considered a PHN specialist

Question 29

A PHN provides a clinic for HIV-positive citizens in the community.Which of the following best describe this activity?

A) Primary prevention
B) Health education
C) Tertiary prevention
D) Policy making

Question 30

A nurse is working in a community health nursing practice setting.Which of the following is the nurse most likely to implement?

A) Administrating a flu shot to a client in a physician's office
B) Conducting a flu shot clinic at a community center
C) Performing a client assessment in a hospital
D) Providing supervision of staff in a rehabilitation center

Question 31

Which of the following are considered barriers to public health nursing? (Select all that apply.)

A) The mindset that the only role for the nurse is at the bedside
B) The structures within which nurses work and the process of role socialization within those structures
C) Few nurses receive graduate-level preparation in the concepts and strategies of the disciplines basic to public health
D) The steady decline in the number of job opportunities in the area
E) The inability to equally distribute the increasing funds

Question 32

A PHN has been prepared at the graduate level.Which of the following activities should the practitioner be able to complete?

A) Teach public and community health nursing
B) Assess and intervene successfully at the aggregate level
C) Diagnose and treat disease and have prescriptive authority
D) Run for political office as experts in public health policy

Question 33

PHNs are looking to improve population-focused care in the community.Which of the following best describes a key opportunity for the nurses to accomplish this goal?

A) Assuming traditional nursing roles
B) Influencing public health policy
C) Conducting community assessments
D) Specializing in community-based nursing practice

Question 34

The nurse is investigating environmental health problems caused by contaminated ground water.Which of the following types of nursing practice is being used?

A) Community-oriented
B) Community-based
C) Policy development
D) Tertiary care

Question 35

A population is best defined as a:

A) high-risk group.
B) those interacting within a school or institutional setting.
C) collection of individuals who share at least one common characteristic.
D) geographical location within a community.

Question 36

Population-focused practice focuses on defining the problems or needs of and implementing solutions for:

A) individuals.
B) aggregates.
C) communities.
D) geographical regions.